Shashank Kumar Jha (NPI# 1174800072, PAC ID# 7719153360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174800072 |
| PAC ID by PECOS | 7719153360 |
| Professional Enrollment ID | I20120131000672 |
| Full Name | Shashank Kumar Jha |
| Organization Legal Name | UNISON BEHAVIORAL HEALTH |
| Address |
1007 Mary St Waycross GA 31503-3823 |
| Phone Number | 9122856142 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7517852247 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3600 Dallas Hwy Sw, Marietta, GA 30064-1675 | 7704209170 | TLC OF GEORGIA LLC |
| 1007 Mary St, Waycross, GA 31503-3823 | 9122856142 | UNISON BEHAVIORAL HEALTH |
| Organization Legal Name | UNISON BEHAVIORAL HEALTH |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha W Herrin | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Marvelous S Beckman | Clinical Social Worker | Unison Behavioral Health | 201 Brunel St, Waycross, GA 31501-2216 |
| Melissa Guthrie-thomas | Clinical Social Worker | Unison Behavioral Health | 1005 Shirley Ave, Douglas, GA 31533-2123 |
| Ricky Tatum | Physician Assistant | Unison Behavioral Health | 3455 Harris Rd, Waycross, GA 31503-8960 |
| Kimberly B Bennett | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Mitzi B Tyre | Nurse Practitioner | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Jessica Clark | Nurse Practitioner | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Ashlie L Avery | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Karen M Manac | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Kavita Kothari | Psychiatry | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Street Address |
1007 MARY ST |
| City | WAYCROSS |
| State | GA |
| Zip | 31503-3823 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha W Herrin | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Kimberly B Bennett | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Mitzi B Tyre | Nurse Practitioner | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Jessica Clark | Nurse Practitioner | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Ashlie L Avery | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Karen M Manac | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Kavita Kothari | Psychiatry | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Tiffany Henderson | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Laura Smith | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Lindsey Tatum | Nurse Practitioner | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Maine | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Laurine Porter | Nurse Practitioner | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Yotta Burton | Nurse Practitioner | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Halim Faisal | Clinical Social Worker | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Kayln T Lane | Psychiatry | Unison Behavioral Health | 1007 Mary St, Waycross, GA 31503-3823 |
| Ronald Carswell | Chiropractic | 811 Carswell Ave, Waycross, GA 31503-4757 | |
| Leanna Jaye Lewis | Nurse Practitioner | Consultants In Pain Medicine LLC | 2452 Memorial Dr, Waycross, GA 31503-6336 |
| Ricky Tatum | Physician Assistant | Unison Behavioral Health | 3455 Harris Rd, Waycross, GA 31503-8960 |
| City | WAYCROSS |
| Zip Code | 31503 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WAYCROSS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shashank Kumar Jha.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.